Search › Wisconsin › 101YP2500X
Anna Jacques
NPI 1841825601 · on the registry since 2020
Practice
- Address
- 2600 N Mayfair Rd Ste 650
Wauwatosa, WI 53226 - Phone
- (414) 771-9304
- Fax
- (414) 771-9543
- Organisation at this address
- Cmm Sundaram Md Sc
David B Chua, Md, Sc
William R Davis Md Sc
Stream And Mountain, Llc
Harris Family Dental, ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 84
Additional practice sites
- 5225 N Ironwood Rd Ste 120, Glendale, WI
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-03-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin